Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
Chronic eosinophilic ... end-stage with massive fibrosis ... consolidation #Clinical ... Radiology #HRCT #CTChest ... HighAttenuation #Pattern #Comparison
Diagnostic algorithm for a child or adolescent with suspected pulmonary hypertension. CHD, congenital heart disease; CPET,
Diagnostic algorithm ... testing; CTEPH, chronic ... hypertension; CXR, chest ... #Diagnosis #Peds ... #Hypertension #Workup
Progressive Massive Fibrosis on Chest X-Ray
In a construction worker presenting with shortness of breath.
Progressive Massive Fibrosis
Progressive Massive Fibrosis ... on Chest X-Ray ... a construction worker ... is a chronic interstitial ... #silicosis #clinical
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
HP (right) Differential ... In chronic HP fibrotic ... #Clinical #Diagnosis ... #Radiology #CTChest ... #UIP #Comparison
Chronic Diarrhea - Workup
Osmotic:
 β€’ Consider food diary and trial avoiding certain foods or meds, Consider
Chronic Diarrhea ... - Workup Osmotic ... certain foods or meds ... #Diarrhea #Workup ... #diagnosis #differential
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... central dot. - LIP #Clinical ... #CTChest #Cystic ... #Cysts #Differential ... #Comparison #Table
Aortitis - Diagnosis and Workup
Clinical History:
 - Fever, weight loss, deterioration of general health
 - Aortic
Aortitis - Diagnosis ... and Workup Clinical ... - Pain (back, chest ... #Aortitis #Diagnosis ... #Workup #Differential
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
diagnosis there ... with end-stage fibrosis ... #Clinical #Diagnosis ... #Radiology #CTChest ... Cyst #Emphysema #Comparison
Etiologies of Hypoaldosteronism

Hyporeninemic Hypoaldosteronism (Low Renin, Low Aldosterone)
 - Diabetic Nephropathy 
 - NSAIDs
Non-Hyporeninemic Hypoaldosteronism (Normal
Inhibitors - Chronic ... insufficiency - Critical ... Hypoaldosteronism #Differential ... #Diagnosis #Renin ... #Aldosterone #Comparison
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 β€’ Guidelines as SBP β‰₯130 or DBP β‰₯ 90 mmHg
 β€’
of Pregnancy Chronic ... before Anti-HTN meds ... ↑ in anti HTN meds ... so have high clinical ... obstetrics #cardiology #differential